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<title>纳税信用复评申请</title>
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<body>
	<form action="" id="formSave" name="formSave" class="layui-form wxl_syxxcj_form">
		<ul>
			<li>
				<span style="width: 35%;">纳税号人识别</span>
				<input type="text" name="NSRSBH" id="NSRSBH" placeholder="纳税号人识别" disabled="disabled"/>
			</li>
			<li>
				<span style="width: 35%;">纳税人名称</span>
				<input type="text" name="NSRMC" id="NSRMC" placeholder="纳税号人识别" disabled="disabled"/>
			</li>
			<li>
				<span style="width: 35%;"><span style="color:red;font-size: 18px;vertical-align: middle;">* </span>申请复评的年度</span>
				<div class="layui-form-item">
				    <div class="layui-input-block">
				      <select name="PJND" id="PJND" lay-filter="aihao">
				        <option value="0">请选择</option>
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				</div>
			</li>
			<li>
				<span style="width: 35%;"><span style="color:red;font-size: 18px;vertical-align: middle;">* </span>登记序号</span>
				<input type="text" name="DJXH" id="DJXH" placeholder="登记序号"/>
			</li>
			<li>
				<span style="width: 35%;"><span style="color:red;font-size: 18px;vertical-align: middle;">* </span>经办人</span>
				<input type="text" id="JBR" name="JBR" placeholder="经办人" maxlength="8" validatorrules="Require" msg0="请填写经办人"/>
			</li>
			<li>
				<span style="width: 35%;"><span style="color:red;font-size: 18px;vertical-align: middle;">* </span>经办人电话</span>
				<input type="text" name="JBRDH" id="JBRDH" placeholder="经办人电话" maxlength="15" validatorrules="Require" msg0="请填写经办人电话"/>
			</li>
			<li style="width: 100%;">
				<span style="width: 17%;"><span style="color:red;font-size: 18px;vertical-align: middle;">* </span>申请原因</span>
				<div class="layui-form-item layui-form-text" style="width: 77.5%;">
				    <div class="layui-input-block">
				      <textarea placeholder="请填写申请原因" class="layui-textarea" name="SQYY" id="SQYY" maxlength="600" validatorrules="Require" msg0="请填写申请原因"></textarea>
				    </div>
				</div>
			</li>
		</ul>
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